Muttarak Malai, Lojanapiwat Bannakij, Chaiwun Benjaporn, Wudhikarn Supot
Department of Radiology, Chiang Mai University, Chiang Mai, Thailand.
Australas Radiol. 2002 Jun;46(2):183-5. doi: 10.1046/j.1440-1673.2001.01032.x.
We report a case of bilateral tuberculous epididymo-orchitis following intravesical Bacillus Calmette-Guerin (BCG) therapy for superficial bladder carcinoma in which the diagnosis was made by ultrasonography prior to surgery. The US findings include heterogeneous enlargement of the epididymis and testis, associated with scrotal-skin thickening and scrotal sinus track. Patients with bladder carcinoma treated with intravesical BCG therapy, the presence of scrotal swelling with scrotal-skin thickening and epididymal involvement suggests tuberculous epididymo-orchitis rather than testicular tumour. It is important to be aware of this rare complication and to be familiar with the ultrasonographic features so that appropriate treatment can be given.
我们报告1例卡介苗（BCG）膀胱灌注治疗浅表性膀胱癌后发生的双侧结核性附睾炎-睾丸炎病例，术前通过超声检查作出诊断。超声检查结果包括附睾和睾丸不均匀增大，伴有阴囊皮肤增厚和阴囊窦道。对于接受BCG膀胱灌注治疗的膀胱癌患者，若出现阴囊肿胀、阴囊皮肤增厚及附睾受累，提示为结核性附睾炎-睾丸炎而非睾丸肿瘤。认识到这种罕见并发症并熟悉超声特征很重要，以便能给予恰当治疗。
